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Unknown Provider 1497837280

NPI: 1497837280Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$45.0M

$45,022,793

Total Claims

967K

Beneficiaries

826K

1.2 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2018
$95K
+425%
2019
$497K
+22%
2020
$606K
+208%
2021
$1.9M
+471%
2022
$10.7M
+36%
2023
$14.4M
+17%
2024
$16.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (T4527 (Adult-sized disposable incontinence product, large)) accounts for 9% of total spending.

T4527Normal range

Adult-sized disposable incontinence product, large

$4.0M

58K claims · 8.8%

Your Cost: $69.15/claim|Median: $99.53
0.7× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$3.4M

51K claims · 7.6%

Your Cost: $67.35/claim|Median: $88.94
0.8× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$2.5M

35K claims · 5.5%

Your Cost: $71.07/claim|Median: $105.14
0.7× median
A4554Normal range

Disposable underpads, all sizes

$2.4M

86K claims · 5.3%

Your Cost: $27.54/claim|Median: $37.02
0.7× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$2.1M

3,830 claims · 4.7%

Your Cost: $555.11/claim|Median: $465.86
1.2× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$1.9M

38K claims · 4.2%

Your Cost: $49.54/claim|Median: $41.28
1.2× median
B4160Normal range

Enteral formula, per 100 calories

$1.7M

15K claims · 3.7%

Your Cost: $111.46/claim|Median: $157.30
0.7× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$1.6M

35K claims · 3.6%

Your Cost: $46.93/claim|Median: $42.03
1.1× median
E1399Normal range

Durable medical equipment, miscellaneous

$1.6M

6,817 claims · 3.5%

Your Cost: $231.69/claim|Median: $104.06
2.2× median
T4524Normal range

Adult-sized disposable incontinence product, brief/diaper, medium

$1.5M

18K claims · 3.3%

Your Cost: $80.91/claim|Median: $108.31
0.7× median
E1390Top 10%

Oxygen concentrator, single delivery port

$1.5M

15K claims · 3.2%

Your Cost: $95.29/claim|Median: $45.11
2.1× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$1.4M

15K claims · 3.1%

Your Cost: $92.99/claim|Median: $89.79
1.0× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$1.2M

15K claims · 2.8%

Your Cost: $84.02/claim|Median: $110.54
0.8× median
T4523Normal range

Adult-sized disposable incontinence product, brief/diaper, small

$1.2M

17K claims · 2.7%

Your Cost: $68.62/claim|Median: $96.13
0.7× median
S5199Normal range

Personal care item, NOS, each

$1.0M

92K claims · 2.3%

Your Cost: $11.09/claim|Median: $10.82
1.0× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$997K

3,365 claims · 2.2%

Your Cost: $296.38/claim|Median: $300.16
1.0× median
A4927Normal range

Gloves, non-sterile, per 100

$957K

118K claims · 2.1%

Your Cost: $8.14/claim|Median: $12.90
0.6× median
B4152Top 25%

Enteral formula, calorically dense, per 100 calories

$942K

6,952 claims · 2.1%

Your Cost: $135.56/claim|Median: $92.20
1.5× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$915K

6,798 claims · 2.0%

Your Cost: $134.62/claim|Median: $117.24
1.1× median
B4153Normal range

$833K

1,485 claims · 1.8%

Your Cost: $560.61/claim|Median: $410.73
1.4× median
T4522Normal range

Adult-sized disposable incontinence product, brief/diaper, above XL

$819K

13K claims · 1.8%

Your Cost: $64.38/claim|Median: $84.50
0.8× median
B4154Normal range

$680K

5,135 claims · 1.5%

Your Cost: $132.34/claim|Median: $132.96
1.0× median
B4088Normal range

$637K

7,938 claims · 1.4%

Your Cost: $80.26/claim|Median: $73.20
1.1× median
A4353Normal range

Intermittent urinary catheter, with insertion supplies

$510K

1,081 claims · 1.1%

Your Cost: $471.63/claim|Median: $508.29
0.9× median
E0465Normal range

Home ventilator, any type, used with invasive interface

$497K

1,228 claims · 1.1%

Your Cost: $404.89/claim|Median: $583.21
0.7× median
E0601Normal range

Continuous positive airway pressure (CPAP) device

$482K

11K claims · 1.1%

Your Cost: $43.27/claim|Median: $35.30
1.2× median
T4525Normal range

$446K

6,637 claims · 1.0%

Your Cost: $67.25/claim|Median: $79.46
0.8× median
T4544Normal range

Pediatric-sized disposable underpads/pads, small

$413K

4,085 claims · 0.9%

Your Cost: $101.14/claim|Median: $171.64
0.6× median
B9998Normal range

Enteral/parenteral nutritional supplies, NOS

$413K

7,115 claims · 0.9%

Your Cost: $58.05/claim|Median: $55.51
1.0× median
A4624Normal range

$368K

3,424 claims · 0.8%

Your Cost: $107.45/claim|Median: $107.53
1.0× median
T4543Normal range

Pediatric-sized disposable incontinence product, above XL

$361K

3,377 claims · 0.8%

Your Cost: $106.92/claim|Median: $177.75
0.6× median
T4530Normal range

$342K

5,800 claims · 0.8%

Your Cost: $58.97/claim|Median: $83.90
0.7× median
B9002Normal range

$332K

7,784 claims · 0.7%

Your Cost: $42.67/claim|Median: $54.41
0.8× median
E0431Top 10%

Portable gaseous oxygen system, rental

$271K

12K claims · 0.6%

Your Cost: $21.75/claim|Median: $10.37
2.1× median
B4034Normal range

$269K

4,331 claims · 0.6%

Your Cost: $62.05/claim|Median: $46.28
1.3× median
E0471Normal range

Respiratory assist device, bi-level with backup rate

$268K

1,273 claims · 0.6%

Your Cost: $210.90/claim|Median: $210.29
1.0× median
E0445Normal range

$266K

5,864 claims · 0.6%

Your Cost: $45.44/claim|Median: $118.11
0.4× median
E0466Normal range

Home ventilator, any type, used with non-invasive interface

$260K

639 claims · 0.6%

Your Cost: $406.42/claim|Median: $317.50
1.3× median
A9900Normal range

$251K

4,091 claims · 0.6%

Your Cost: $61.44/claim|Median: $58.14
1.1× median
K0001Top 25%

Standard wheelchair

$197K

9,334 claims · 0.4%

Your Cost: $21.07/claim|Median: $12.27
1.7× median
A6250Normal range

Skin sealant protectant, moisturizer, each ounce

$179K

32K claims · 0.4%

Your Cost: $5.60/claim|Median: $9.88
0.6× median
T4532Normal range

$176K

2,185 claims · 0.4%

Your Cost: $80.57/claim|Median: $116.50
0.7× median
B4155Normal range

$175K

1,887 claims · 0.4%

Your Cost: $92.75/claim|Median: $46.72
2.0× median
A4245Top 25%

$134K

21K claims · 0.3%

Your Cost: $6.41/claim|Median: $2.33
2.8× median
E0470Normal range

$129K

1,451 claims · 0.3%

Your Cost: $89.19/claim|Median: $81.45
1.1× median
E0255Top 25%

$126K

2,322 claims · 0.3%

Your Cost: $54.39/claim|Median: $14.03
3.9× median
E0562Normal range

Humidifier, heated, used with positive airway pressure device

$119K

14K claims · 0.3%

Your Cost: $8.24/claim|Median: $18.68
0.4× median
E0570Top 25%

Nebulizer, with compressor

$116K

2,630 claims · 0.3%

Your Cost: $44.24/claim|Median: $16.16
2.7× median
T4540Top 25%

$111K

3,854 claims · 0.2%

Your Cost: $28.74/claim|Median: $17.85
1.6× median
T4521Normal range

$107K

1,878 claims · 0.2%

Your Cost: $56.79/claim|Median: $81.60
0.7× median
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